Post-Op Day 2 After Hip Labrum Repair: Pain and Recovery - Orthopedics

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Second day post-operative for acetabular labrum repair?


Dear Dr.
You,
I sustained a sports injury last September, resulting in a left hip labral tear.
After unsuccessful conservative treatment, I underwent hip arthroscopy for labral repair on August 12.
It has been two days since the surgery, and I still experience pain when getting out of bed and walking.
Currently, I am using crutches for support and am hesitant to put weight on my leg.
Any movement involving the internal hip joint causes pain.
This experience seems different from what I read online, where many say that pain decreases significantly the day after surgery and that wounds heal quickly.
I am really worried that I might feel this way indefinitely.
😢

Brianna, 30~39 year old female. Ask Date: 2020/08/14

Dr. You Dianqi reply Orthopedics


Hello: Although arthroscopy is considered minimally invasive, it is still classified as a surgical procedure.
Some comments found online may not accurately reflect individual conditions, mobility, or surgical techniques, and the influence of advertisements can create a misleading impression.
Therefore, I sincerely recommend that while you can look up medical information online, it is essential to consult a physician whom you trust and feel comfortable with for a face-to-face discussion regarding your concerns.
As for your current postoperative recovery period, experiencing discomfort initially is still within a reasonable range.
However, to provide you with more informed advice, I would need to know the specifics of your condition, including whether it involves repair (and if so, whether anchors were used and their placement) or debridement, among other details.

Reply Date: 2020/08/14

More Info


Post-operative pain and recovery after a hip labrum repair can vary significantly from person to person. It’s important to understand that while some individuals may experience minimal pain and a quick recovery, others may have a more challenging experience, especially in the early days following surgery.
In your case, experiencing pain on the second day post-surgery is not uncommon. The hip joint is a complex structure, and the surgical procedure involves manipulating and repairing soft tissues, which can lead to inflammation and discomfort. The pain you are feeling, especially when moving your leg or putting weight on it, is likely due to the healing process. The body responds to surgery with inflammation, which can cause pain and swelling in the affected area.
Using crutches for support is a good strategy to minimize weight-bearing on the affected leg. It is essential to follow your surgeon's post-operative instructions regarding weight-bearing and mobility. Typically, patients are advised to gradually increase their activity level as tolerated, but this should be done cautiously and in accordance with your surgeon’s guidelines.
Regarding the discrepancy between your experience and what you read online, it’s crucial to remember that recovery can be highly individualized. Factors such as the extent of the injury, the specific surgical technique used, your overall health, and your body’s response to surgery can all influence recovery. Some patients may have a more straightforward recovery, while others may need more time to heal.
Pain management is also a critical aspect of recovery. Ensure you are taking any prescribed pain medications as directed and discussing any concerns about pain levels with your healthcare provider. They may adjust your pain management plan or suggest additional therapies, such as physical therapy, to help alleviate discomfort and improve mobility.

Physical therapy often begins shortly after surgery, focusing on gentle range-of-motion exercises and gradually progressing to strengthening exercises as tolerated. Engaging in physical therapy can significantly aid in your recovery by improving flexibility, strength, and overall function of the hip joint.
If you continue to experience significant pain or if your symptoms worsen, it is essential to communicate this with your surgeon. They may want to evaluate your recovery progress and ensure that there are no complications, such as infection or issues with the surgical repair.
In summary, while it is understandable to be concerned about your recovery, it is essential to give your body time to heal. Follow your surgeon's advice, engage in physical therapy as recommended, and maintain open communication with your healthcare team. Recovery from hip labrum repair can take time, and patience is key.

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